VBS REGISTRATION FORM

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VBS REGISTRATION FORM

Green Pastures Presbyterian Church Vacation Bible School
July 7 (Fri) – July 8 (Sat), 2023 9:30 a.m.– 4:00 p.m.
Fee: $20 per child (includes snack and lunch)

Space is limited, therefore register today!

Theme: Following Jesus changes the game (Psalm 25:4)

VBS Contact: Ariel Kim (408) 483-8529 or arielekim@gmail.com

Green Pastures Presbyterian Church 1948 The Alameda, San Jose, CA 95126
https://www.greenpastures-church.com/

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Twists&Turns

Child's Name *

Child's Birth Date *

AAAA

Child's Grade (entering fall 2023) *

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

T-shirt Size Preference
*

XS (Child Size 4)

S (Child Size 6-8)

M (Child Size 10-12)

L (Child Size 14-16)

XL (Child Size 18-20)

Child's Name

Child's Birth Date

AAAA

Child's Grade(entering fall 2023)

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Borrar selección

T-shirt Size Preference

XS (Child Size 4)

S (Child Size 6-8)

M (Child Size 10-12)

L (Child Size 14-16)

XL (Child Size 18-20)

Borrar selección

Child's Name

Child's Birth Date

AAAA

Child's Grade(entering fall 2023)

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Borrar selección

T-shirt Size Preference

XS (Child Size 4)

S (Child Size 6-8)

M (Child Size 10-12)

L (Child Size 14-16)

XL (Child Size 18-20)

Borrar selección

Parent/Guardian Name(s) *

Parent/Guardian Mobile *

Parent/Guardian Email *

Emergency Contact *

Emergency Phone *

Allergies or Special Needs *

LIABILITY RELEASE :

In consideration of Green Pastures Presbyterian Church (“Church”) allowing the above child(ren) to participate in Vacation Bible School activities, I hereby release, discharge and agree to hold harmless Church, its directors, employees, volunteers and agents from any and all liability, claims or demands for accidental injury, sickness or damage and expenses, of any nature which may be incurred and the above child(ren) while involved in daily Vacation Bible School activities.

I agree

Obligatorio

MEDICAL TREATMENT PERMISSION:

I give permission to Church to take whatever emergency measures that are judged necessary for the care and protection of my child while under the supervision of the Church.

I agree

Obligatorio

PHOTO/PICTURE PERMISSION:

I give my consent to Church to use photo or video images taken of my child(ren) in Church brochures, advertisements for the Church, on the website, in social media, and in other Church publications as they see fit.

I agree

Obligatorio

Enviar

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